Organization Active NPI

Mosaic Women's Wellness, PLLC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043114127
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOSAIC WOMEN'S WELLNESS, PLLC
Practice address
8700 Crownhill Blvd Ste 206
San Antonio, TX 78209-1126
Phone
(210) 355-8600
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Wallace, FNP
Title
Partner
Phone
(210) 355-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

8700 Crownhill Blvd Ste 206
San Antonio, TX 78209-1126

Mailing address

8700 Crownhill Blvd Ste 206
San Antonio, TX 78209-1126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1043114127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091126",
            "telephone_number": "210-355-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC WOMEN'S WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "210-355-8600",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.